| NPI | 1669801593 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202001814) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00440600) | 
| Enumeration Date | 2013-11-01 | 
| Last Update Date | 2013-11-01 |